Gary T. Anderson, F.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R 120278-4 Issued in MN

Practice address

204 Lundorff Dr
Sandstone, MN 55072-5051

Phone

(320) 245-2250

Fax

(320) 245-2555

NPI assigned

May 27, 2005

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Family Health Clinic, LTD.Group PAC ID 6305758657, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309
• Essentia Health Moose Lake Hospital, Moose Lake, MN, CCN 241350

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.anderson@gfhc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JDGJBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Family Health Clinic, LTD.

  • Clinic/Center
  • Cromwell, MN
  • NPI 1891748042
  Medicare reassignment Care Compare group NPD
• Gateway Family Health Clinic, LTD.

  • Rural Health Clinic/Center
  • Sandstone, MN
  • NPI 1790772259

  Nurse Practitioner

  NPD
• Gateway Family Health Clinic, LTD.

  • Family Medicine Physician
  • Moose Lake, MN
  • NPI 1356344451
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Essentia Health Moose Lake

  • Critical Access Hospital
  • Moose Lake, MN
  • NPI 1154959880
  Care Compare affiliation
• Essentia Health Moose Lake

  dba Essentia Health Moose Lake Clinic

  • Critical Access Hospital Clinic/Center
  • Moose Lake, MN
  • NPI 1275102048
  Care Compare affiliation
• Pine Medical Center

  dba Essentia Health Emergency Medical Services-Sandstone

  • Ambulance
  • Sandstone, MN
  • NPI 1154852937

  Hospital

  Care Compare affiliation
• Pine Medical Center

  dba Essentia Health Sandstone

  • Critical Access Hospital
  • Sandstone, MN
  • NPI 1326041633
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1780687350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LUNDORFF DR",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725051",
            "telephone_number": "320-245-2250",
            "fax_number": "320-245-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LUNDORFF DR",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725051",
            "telephone_number": "320-245-2250",
            "fax_number": "320-245-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GARY",
        "middle_name": "T.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 120278-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827997700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Adam Andersen
• Carlette Renee Anderson
• Sherri Lynn Anderson, LPN L61319-6
• Ascertain Healthcare LLP
• Ascertain Recovery Centre' LLC
• Ascertain Recovery Centre' LLC (Ascertain Recovery Centre)
• Attaboys, Inc

• Nurse Practitioner in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.